论著 Original Article

食管癌开胸术后癌因性疲乏的护理干预

Published at: 2017年第37卷第2期

肖婷 1
1 南通市肿瘤医院胸外科,江苏 南通 226361
通讯作者 婷 肖 Email: hefff001@163.com
DOI: 10.3978/j.issn.2095-6959.2017.02.009
基金:

摘要

目的:研究食管癌开胸术后癌因性疲乏的有效护理对策。方法:将我院82例开胸食管癌根治术患者为研究对象,随机分为观察组(n=41)与对照组(n=41),观察组行综合护理,对照组采取术后常规护理,比较两组护理前及护理后1月疲乏分级变化,记录护理后1月Piper疲乏量表评分,并随访3月观察两组生活质量差异。结果:两组护理前疲乏程度比较差异无统计学意义(P>0.05),护理后两组疲乏程度均呈降低趋势,组间比较观察组疲乏程度显著较低(P<0.05);与护理前比较观察组情感、感觉、认知及情绪评分显著降低(P<0.05),对照组认知及情绪评分显著降低(P<0.05),组间比较观察组情感、感觉、认知及情绪评分显著低于对照组(P<0.05);与护理前比较观察组除社会功能外其他维度均显著高于护理前(P<0.05),组间比较观察组情绪功能、总体健康评分显著高于对照组,差异有统计学意义(P<0.05)。结论:针对开胸食管癌根治术后癌因性疲乏特征开展心理、饮食、放松等一系列综合护理可降低患者疲乏程度,改善患者生活质量,临床价值较高。


Nursing intervention for esophageal cancer related fatigue after thoracotomy

Abstract

Objective: To study the effective nursing strategies for esophageal cancer related fatigue after thoracotomy. Methods: Eighty-two cases of patients undergoing thoracotomy of esophageal cancer in our hospital were randomly divided into observation group (n=41) and control group (n=41). The observation group received comprehensive nursing and control group received routine nursing. Changes of fatigue grade were compared between the two groups, Piper fatigue scale scores were recorded, and both groups were followed for 3 months to observe the quality of life. Results: Degree of fatigue showed no significant difference between the two groups before nursing (P>0.05). After nursing, the degree of fatigue showed a decreasing trend, and the degree of fatigue in observation group was significantly lower (P<0.05); compared with those before nursing, the scores of emotion, feeling, cognition and emotion in observation group and the scores of cognition and emotion in control group were decreased significantly (P<0.05). The above scores of observation group were significantly lower than those of the control group (P<0.05); except the social function, the scores of other dimensions in observation group were significantly higher than those before treatment (P<0.05), and the scores of emotional function and overall health in observation group were significantly higher than the control group (P<0.05). Conclusion: The implementation of psychological, diet, relaxation and a series of comprehensive nursing according to the characteristics of cancer related fatigue after thoracotomy of esophageal cancer can reduce the degree of fatigue, and improve the quality of life.


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引用

引用本文: 婷 肖. 食管癌开胸术后癌因性疲乏的护理干预[J]. 临床与病理杂志, 2017, 37(2): 271-276.
Cite this article as: XIAO Ting . Nursing intervention for esophageal cancer related fatigue after thoracotomy[J]. Journal of Clinical and Pathological Research, 2017, 37(2): 271-276.